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一项关于前庭神经炎后焦虑病程的前瞻性研究。

A prospective study on the course of anxiety after vestibular neuronitis.

作者信息

Godemann Frank, Linden Michael, Neu Peter, Heipp Esther, Dörr Peggy

机构信息

Department of Psychiatry and Psychotherapy, Charité Hospital, Humboldt University at Berlin, Germany.

出版信息

J Psychosom Res. 2004 Mar;56(3):351-4. doi: 10.1016/S0022-3999(03)00079-5.

Abstract

OBJECTIVE

Critical life events trigger intense emotions. Anxiety is one of the most frequent of these emotions. It is unclear which factors determine the intensity and course of anxiety after a critical life event.

METHOD

Anxiety levels of 92 patients in the 6 weeks after experiencing an acute vestibular disorder were examined. The influence of cognitive, personality and illness variables on the course of their anxiety was analyzed.

RESULTS

Acute vestibular disorder is accompanied by intensive anxiety. In most patients, anxiety decreased as vertigo regressed. Catastrophizing and dysfunctional cognitions and different personality styles predicted 17.6% of the anxiety 6 weeks after the functional loss of vestibular equilibrium.

CONCLUSIONS

Acute vestibular disorder is a critical life event. Most individuals cope successfully with acute vestibular disorder. However, dysfunctional cognitions are risk factors for the persistence of anxiety.

摘要

目的

重大生活事件会引发强烈情绪。焦虑是这些情绪中最常见的一种。目前尚不清楚哪些因素决定了重大生活事件后焦虑的强度和发展过程。

方法

对92例经历急性前庭疾病的患者在6周内的焦虑水平进行了检查。分析了认知、人格和疾病变量对其焦虑发展过程的影响。

结果

急性前庭疾病伴有强烈焦虑。在大多数患者中,焦虑随着眩晕的消退而减轻。灾难化思维、功能失调性认知和不同的人格类型预测了前庭平衡功能丧失6周后17.6%的焦虑情况。

结论

急性前庭疾病是一个重大生活事件。大多数人能成功应对急性前庭疾病。然而,功能失调性认知是焦虑持续存在的危险因素。

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